Form Structure: Grooved Pegboard Test (GPT)
This form structure is an organized set of data definitions for a copyrighted form
Title:
Grooved Pegboard Test (GPT)
Short Name:
GPT
Description:
The Grooved Pegboard Test is a manipulative dexterity test involving a pegboard containing twenty-five holes with randomly positioned slots and pegs which have a key along one side. Pegs must be rotated to match the hole before they can be inserted. This procedure measures performance speed in a fine motor task by examining both sides of the body. This version of GPT with 25 pegs was developed for adults and adolescents, age range 15+-89. For children age 5-15 they should use GPT for Kiddies with only 10 pegs.
Copyright 2002 by Lafayette Instrument Company, Inc. All Rights Reserved, www.lafayetteinstrument.com
Neuropsychological impairment, Knowledge graph, See also
Disease:
Traumatic Brain Injury
Organization:
Virginia Commonwealth University
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-08-13
Version:
1.3
Date Created:
2015-03-31
Owner:
Number of Data Elements:
22
eForms:
N
Logically grouped data elements with defined frequency at which they repeat.
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | GUID | Global Unique ID which uniquely identifies a subject | GUID | Required | CDE |
| 2 | Subject identifier number | An identification number assigned to the participant/subject within a given protocol or a study. | SubjectIDNum | Optional | CDE |
| 3 | Age in years | Value for participant's subject age recorded in years. | AgeYrs | Recommended | CDE |
| 4 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 5 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 6 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 7 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 8 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 2 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 3 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 4 | Data source other text | The free-text field related to Data source specifying other text. Source of the data provided on the case report form | DataSourceOTH | Recommended | CDE |
Hand Preference Type (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Hand preference type | Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively. | HandPrefTyp | Recommended | CDE |
Dominant Hand (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Hand preference type | Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively. | HandPrefTyp | Recommended | CDE |
| 2 | Grooved Pegboard Test (GPT) - Hand time duration | Duration of time for hand to place pegs as part of Grooved Pegboard Test (GPT) | GPTHandTimDur | Recommended | CDE |
| 3 | Grooved Pegboard Test (GPT) - Hand time T-score | Hand time T-score to determine statistical significance for the hand time and pegs placed/dropped, as part of Grooved Pegboard Test (GPT) | GPTTimeTScore | Recommended | CDE |
| 4 | Grooved Pegboard Test (GPT) - Hand pegs dropped number | Number of pegs dropped during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegDropNum | Recommended | CDE |
| 5 | Grooved Pegboard Test (GPT) - Hand pegs placed correctly number | Number of pegs placed correctly during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegCorrectNum | Recommended | CDE |
Non-Dominant Hand (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Grooved Pegboard Test (GPT) - Hand time duration | Duration of time for hand to place pegs as part of Grooved Pegboard Test (GPT) | GPTHandTimDur | Recommended | CDE |
| 2 | Grooved Pegboard Test (GPT) - Hand time T-score | Hand time T-score to determine statistical significance for the hand time and pegs placed/dropped, as part of Grooved Pegboard Test (GPT) | GPTTimeTScore | Recommended | CDE |
| 3 | Grooved Pegboard Test (GPT) - Hand pegs dropped number | Number of pegs dropped during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegDropNum | Recommended | CDE |
| 4 | Grooved Pegboard Test (GPT) - Hand pegs placed correctly number | Number of pegs placed correctly during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegCorrectNum | Recommended | CDE |
Keywords
